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A simple guide to erectile dysfunction and your health

Laura Harcourt

Written byLaura Harcourt

heeral-patel-bio

Reviewed byHeeral Patel

Couple holding hands
If things aren’t quite working ‘down there’ like they used to, you’re not alone. You might just not be in the mood, but if it happens a lot, it could be a sign of erectile dysfunction

Summary

1What’s erectile dysfunction?

Also known as impotence, erectile dysfunction is the inability to consistently get or keep an erection...

2What are the causes of erectile dysfunction?

While ageing, smoking and being overweight are usually the most common culprits, other things can cause erectile dysfunction...

3Can you prevent erectile dysfunction?

There are some practical changes you can make to reduce the risk of erectile dysfunction, like eating better and moving more...

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Erectile dysfunction, or ED, is one of the most common sexual problems for men, thought to affect around 50% of men aged between 40 and 70 years old.1 But let’s face it, it can be a sensitive topic and not something you want to discuss.

While it might feel that way, it’s important to understand erectile dysfunction as it can affect your confidence, relationships and even your sense of wellbeing.

Here we’ll take a look into erectile dysfunction, including what it is, why it matters and how you can take a proactive, positive approach to getting your sex life back on track.

What is erectile dysfunction?

When you become aroused, your brain sends signals to the nerves in your penis, increasing the blood flow and causing the tissue to expand and harden.2  If anything interferes with the nervous system or blood circulation, this can stop an erection from happening.1

Erectile dysfunction, also known as impotence, is a condition where you consistently can’t get or keep an erection for long enough to have sex.3

We emphasise “consistent” because for most men, not being able to get or keep an erection can happen occasionally and it usually isn’t anything to worry about. Perhaps your sex drive is low, you’re tired or have had too much to drink. But, if you’re finding that it happens more frequently, it could be a sign of erectile dysfunction, and you should head to your GP to discuss your symptoms.

What causes erectile dysfunction?

The human body is a really complex, interconnected system and so many factors can affect getting an erection, from medical conditions and medications to stress. This is why it’s so important to pinpoint the cause to be able to get the right treatment.

Whilst ageing, smoking and being overweight are usually the main reasons for ED, the following conditions can also increase your risk:4
  • diabetes
  • high blood pressure
  • hormonal conditions like an underactive or overactive thyroid
  • heart disease
  • multiple sclerosis
  • high cholesterol
  • an injury or having had surgery
  • a stroke
  • Parkinson’s disease
  • depression 
  • anxiety
Other factors that can cause erectile dysfunction include things like being overtired, drinking too much alcohol, using drugs, chronic stress and even some types of medication like antidepressants or diuretics.4

If you’re an avid cycling fan and cycle for more than three hours a week, try taking a break.4 There’s no definitive link between cycling and erectile dysfunction, but making sure you’re riding in the right position and that your seat is properly fitted can help prevent regular cycling from affecting your erection.4,5,6

When to see your doctor

If you’re consistently having trouble with erectile function, you should head to see your GP.

As ED can sometimes be your body’s way of sending a signal about an underlying health condition, having a conversation with your doctor is important. It can act as an opportunity to get a broader check-up on your overall health.

Plus, they can help you figure out if there’s anything else happening beneath the surface that might need a bit of attention.

What can you do to help erectile dysfunction?

Show your heart some love

Keeping your heart healthy is crucial for every aspect of your health and wellness. Here’s how you can give it a helping hand.
  • Eat smart: fuel your body with a varied, balanced diet rich in fruits, vegetables, and wholegrains.7
  • Get moving: regular, moderate physical activity isn't just for building muscles, it's fantastic for your circulation, keeping your blood vessels happy and healthy.8 Find something you enjoy, whether it's a brisk walk, cycling, or dancing
  • Manage your weight: maintaining a healthy weight helps take pressure off your heart and blood vessels, contributing to smoother operation throughout your system9
Male laying on bed reading a book

Master your mind (and your stress)

Your emotions are incredibly powerful and can directly influence your physical health too (and vice versa).10 It’s why, when you’re stressed, you can feel nauseous.

Learning how to work with your emotions and mental health is ultimately beneficial for not only your brain, but your body too.
  • Find your calm: explore stress management techniques like mindfulness or meditation  even a few minutes a day can make a difference in how your body responds to everyday pressures11
  • Embrace your hobbies: make time for activities that truly help you unwind and relax  whether it's reading, gardening, or listening to music, having outlets for joy and relaxation is vital
  • Prioritise your sleep: don't underestimate the power of a good night's rest. Quality sleep helps your body repair and recharge, setting you up for better physical and mental function each day12

Get talking

Our social and emotional connections can be closely entwined and they’re so important to feel good. That’s why talking about things on your mind and not bottling up your worries can make you feel so much better.13
  • Talk to your partner: if you're in a relationship, open and honest communication about any concerns, not just those related to health, can strengthen your bond and reduce anxiety
  • Lean on your support system: don't be afraid to talk to a friend, family member, or even a professional if you're feeling overwhelmed – a fresh perspective can be incredibly helpful

Ditch the unhealthy habits

Making practical, healthy lifestyle changes can sometimes help with erectile dysfunction. Try to do things like:
  • cut back on alcohol: if you drink, consider reducing your alcohol intake as too much can really impact your body in numerous ways14
  • kick the habit: if you smoke, quitting is arguably one of the most impactful steps you can take for your overall health  it dramatically improves your blood vessel function and reduces risks across the board15

Supplements for erectile dysfunction

It’s thought that some types of herbs and plants could encourage the body to produce nitric oxide – a molecule that plays a key role in regulating your blood vessels and increasing your blood flow – which help to increase blood flow to the penis.16,17,18

One of the plants that has been studied is ginseng. This Korean herb is believed to be able to support your heart health by promoting the production of nitric oxide.19 And, in one study review, was found to improve the self-reported ability for men to have sex.20 It’s important to note however, that research is still ongoing, and much more needs to be done before a definitive conclusion can be reached.

Emerging evidence also suggests that maca root could support men’s health, particularly sexual desire.21 Again, more research is needed here.

Before taking any supplements, be sure to discuss your concerns with a healthcare professional first, they’ll be able to advise whether supplements are safe for you to take.

The final say

Erectile dysfunction is so much more common than you might think, and it’s not something to feel embarrassed about. Often closely linked to broader aspects of your health and wellness, sometimes ED can be a signal from your body that something isn’t quite right.

While there are lifestyle changes you can make that might help reduce your risk of erectile dysfunction, the best thing to do if you’re concerned is to speak to your GP or a medical professional. They can help you understand what might be going on and guide you toward the best treatment strategies for you.

Want to spice things up in the bedroom? Learn the facts behind aphrodisiacs or find easy tips to boost your libido.

Disclaimer

This article provides informational advice and is not a substitute for medical care. You should always consult your GP or healthcare professional before using supplements or alternative products, particularly if you have medical conditions or are under supervision. 
 

Sources

1. Erectile dysfunction [Internet]. NHS inform. 2024 [cited 2025 Jun 16]. Available from: https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/erectile-dysfunction-impotence
2. Panchatsharam PK, Durland J, Zito PM. Physiology, Erection [Internet]. Nih.gov. StatPearls Publishing; 2023 [cited 2025 Jun 17]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK513278/
3. NHS website. Erectile dysfunction (impotence) [Internet]. nhs.uk. 2017 [cited 2025 Jun 16]. Available from: https://www.nhs.uk/conditions/erection-problems-erectile-dysfunction/
4. Causes of erectile dysfunction [Internet]. NHS inform. 2024 [cited 2025 Jun 17]. Available from: https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/erectile-dysfunction-impotence#causes-of-erectile-dysfunction
5. Dettori Jr, Koepsell Td, Cummings P, Corman Jm. Erectile Dysfunction After a Long-Distance Cycling Event: Associations with Bicycle Characteristics. The Journal of Urology [Internet]. 2004 Jul 2 [cited 2025 Jun 17];172(2):637–41. Available from: https://www.auajournals.org/doi/10.1097/01.ju.0000130749.37731.9f
6. Gan ZS, Ehlers ME, Lin FC, Wright ST, Figler BD, Coward RM. Systematic Review and Meta-Analysis of Cycling and Erectile Dysfunction. Sexual Medicine Reviews [Internet]. 2021 Apr [cited 2025 Jun 17];9(2):304–11. Available from: https://pubmed.ncbi.nlm.nih.gov/32147498/
7. NHS website. Eating a balanced diet [Internet]. nhs.uk. 2022 [cited 2025 Jun 17]. Available from: https://www.nhs.uk/live-well/eat-well/how-to-eat-a-balanced-diet/eating-a-balanced-diet/
8. Benefits [Internet]. NHLBI, NIH. 2022 [cited 2025 Jun 17]. Available from: https://www.nhlbi.nih.gov/health/heart/physical-activity/benefits
9. Pastuszak AW. Current Diagnosis and Management of Erectile Dysfunction. Current Sexual Health Reports [Internet]. 2014 Jun 13 [cited 2025 Jun 17];6(3):164–76. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC4394737/
10. Damiano Pizzol, Trott M, Butler L, Barnett Y, Ford T, Neufeld SA, et al. Relationship between severe mental illness and physical multimorbidity: a meta-analysis and call for action. BMJ Mental Health [Internet]. 2023 Oct 1 [cited 2025 Jun 17];26(1):e300870–0. Available from: https://mentalhealth.bmj.com/content/26/1/e300870
11. NHS Website. Stress - Every Mind Matters [Internet]. nhs.uk. 2021 [cited 2025 Jun 17]. Available from: https://www.nhs.uk/every-mind-matters/mental-health-issues/stress/
12. Good Sleep for Good Health [Internet]. NIH News in Health. 2024 [cited 2025 Jun 17]. Available from: https://newsinhealth.nih.gov/2021/04/good-sleep-good-health
13. NHS Website. Benefits of talking therapies [Internet]. nhs.uk. 2021 [cited 2025 Jun 17]. Available from: https://www.nhs.uk/mental-health/talking-therapies-medicine-treatments/talking-therapies-and-counselling/benefits-of-talking-therapies/
14. Li S, Song JM, Zhang K, Zhang CL. A Meta-Analysis of Erectile Dysfunction and Alcohol Consumption. Urologia Internationalis [Internet]. 2021 Jan 1 [cited 2025 Jun 17];105(11-12):969–85. Available from: https://pubmed.ncbi.nlm.nih.gov/34521090/
15. Kovac JR, Labbate C, Ramasamy R, Tang D, Lipshultz LI. Effects of cigarette smoking on erectile dysfunction. Andrologia [Internet]. 2014 Dec 29 [cited 2025 Jun 17];47(10):1087–92. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC4485976/
16. Ahmad A, Dempsey SK, Zdravka Daneva, Azam M, Li N, Li PL, et al. Role of Nitric Oxide in the Cardiovascular and Renal Systems. International Journal of Molecular Sciences [Internet]. 2018 Sep 3 [cited 2025 Jun 17];19(9):2605–5. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC6164974/
17. Lundberg JO, Weitzberg E. Nitric oxide signaling in health and disease. Cell [Internet]. 2022 Aug [cited 2025 Jun 17];185(16):2853–78. Available from: https://pubmed.ncbi.nlm.nih.gov/35931019/
18. Melis MR, Argiolas A. Erectile Function and Sexual Behavior: A Review of the Role of Nitric Oxide in the Central Nervous System. Biomolecules [Internet]. 2021 Dec 11 [cited 2025 Jun 17];11(12):1866–6. Available from: https://pubmed.ncbi.nlm.nih.gov/34944510/
19. Hyun SH, Bhilare KD, In G, Park CK, Kim JH. Effects of Panax ginseng and ginsenosides on oxidative stress and cardiovascular diseases: pharmacological and therapeutic roles. Journal of Ginseng Research [Internet]. 2021 Jul 26 [cited 2025 Jun 17];46(1):33–8. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC8753520/
20. Lee HW, Lee MS, Kim TH, Terje Alraek, Zaslawski C, Kim JW, et al. Ginseng for Erectile Dysfunction: A Cochrane Systematic Review. The World Journal of Men s Health [Internet]. 2021 Jun 21 [cited 2025 Jun 17];40(2):264–4. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC8987140/
21. Shin BC, Lee MS, Yang EJ, Lim HS, Ernst E. Maca (L. meyenii) for improving sexual function: a systematic review. BMC Complementary and Alternative Medicine [Internet]. 2010 Aug 6 [cited 2025 Jul 11];10(1). Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC2928177/
 

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